| Lift My Soul Therapy Solutions, Llc | |
|
305b Battle St E Talladega AL 35160-2654 | |
| (256) 322-6886 | |
| Not Available |
| Full Name | Lift My Soul Therapy Solutions, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 305b Battle St E, Talladega, Alabama |
| Authorized Official Name and Position | Colleen Craig-akinsanya (OWNER) |
| Authorized Official Contact | 2563226886 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lift My Soul Therapy Solutions, Llc 1414 Golden Springs Rd # 345 Anniston AL 36207-6924 Ph: () - | Lift My Soul Therapy Solutions, Llc 305b Battle St E Talladega AL 35160-2654 Ph: (256) 322-6886 |
| NPI Number | 1760193924 |
|---|---|
| Provider Enumeration Date | 12/08/2022 |
| Last Update Date | 12/08/2022 |
| Certification Date | 12/08/2022 |
| Medicare PECOS PAC ID | 2163893728 |
|---|---|
| Medicare Enrollment ID | O20230119000785 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760193924 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Colleen Craig-akinsanya |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396491288 PECOS PAC ID: 6901291830 Enrollment ID: I20220311000923 |
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